| NPI | 1831667880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-61812) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT20110896) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-10-07 |